Organization Active NPI

Richard L. Carpenter, DDS, PLLC

  • General Practice Dentistry
  • Jackson, MI
National Provider Identifier
1184096521
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11275 Issued in MI
Legal business name
RICHARD L. CARPENTER, DDS, PLLC
Practice address
2532 Spring Arbor Rd
Unit 4
Jackson, MI 49203-3663
Phone
(517) 789-8622
Fax
(517) 789-8636
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard L Carpenter, DDS
Title
Sole Member
Phone
(517) 789-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11275 MI Primary

Addresses

Primary practice location

2532 Spring Arbor Rd
Unit 4
Jackson, MI 49203-3663

Mailing address

2532 Spring Arbor Rd
Unit 4
Jackson, MI 49203-3663
Phone (517) 789-8622

National Provider Directory

National Provider Directory

Locations

2532 Spring Arbor Rd
Unit 4
Jackson, MI 49203
Phone (517) 789-8622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1184096521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "address_2": "UNIT 4",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-789-8622",
            "fax_number": "517-789-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 SPRING ARBOR RD",
            "address_2": "UNIT 4",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033663",
            "telephone_number": "517-789-8622",
            "fax_number": "517-789-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. CARPENTER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "517-789-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.